Effectiveness Bank alert. Hot topics September/October 2015
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Hot topics
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Hot topics September/October 2015
A selection of important issues or interventions which sometimes generate heated debate over facts or interpretation. Treatment is the theme: turning problem users into part of the solution to problem use, doing away with direct human contact altogether, and the imperfect credentials of two popular treatment technologies – the Cycle of Change model and acupuncture.
You can read all the entries or select just those you want to read by scrolling down and clicking the blue titles.
See hot topics archive for all hot topics to date.
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The therapeutic potential of patients and clients
Hard times and thoughts turn to ways to stretch resources. Ally this with the recovery agenda and an emphasis on getting people out of treatment, and it is no surprise that mutual aid groups and recovery champions have moved up commissioning agendas. Visit this hot topic for what we know about problem users becoming part of the solution to problem use.
Does computerising therapy and advice expand access at the cost of effectiveness?
Nobody is yet suggesting that computers can replace therapists for typical treatment populations, but further down severity and complexity scales, the evidence is growing that the silicon chip may add moderating substance use problems to its more familiar competencies.
Cycle of Change: change promoter or benevolent fiction?
Matching interventions to the client’s stage usually doesn’t help, and it only a describes one sort of change process which perhaps is not the most important kind, but there may still be reasons to retain Prochaska and DiClemente’s ubiquitous Cycle of Change model.
Is acupuncture just an expensive placebo?
Commonly used to calm withdrawal symptoms and treat stimulant use, the faith placed in acupuncture is contradicted by findings that whether or not needles are placed at supposedly active body sites makes little difference. But perhaps a placebo effect and something which attracts and retains patients still makes it worthwhile?
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